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PubMedDate not supplied

[Adenocarcinoma in bladder exstrophy].

We present a case of vesical extrophy complicated by an adenocarcinoma in a 35-year old patient. It is this type of neoformation which most frequently affects the extrophic bladder and which, contrary to what has happened in most of the cases published, quickly presented bone and skin metastases.

Adenocarcinoma↗
PubMed1990

Duplicate bladder exstrophy: a new variant of clinical and embryological significance.

A case of duplicate exstrophy of a nature not previously encountered is reported, which we believe has important clinical and embryological implications. The patient presented with what appeared to be classical exstrophy. The inability to identify the ureteral orifices at operation led to the discovery of a previously unrecognized subjacent bladder of normal size and configuration except for a patulous bladder neck and associated epispadias. On excision of the duplicate bladder plate a coloniform projection was discovered that was lined with colonic mucosa. The surgical and potential embryological significance of this rare entity is described.

Bladder Exstrophy↗
PubMed1977

[Late results of reconstructive and plastic operations in bladder exstrophy].

During the period of 1961-1975 in the Child Surgery Clinic of Leningrad Medical Institute of Pediatrics reparative-plastic operations for the urinary bladder extrophy were performed in 39 patients. Most of children were operated upon at the age under 1 year. In 36 patients plastic reconstruction of the urinary bladder, sphincter and urethra was performed with local tissues after the Young technic in the G. A. Bairov modification. Late results of surgical treatment were studied in 26 patients within the terms from 1 to 14 years. Good results were gained in 10 patients, satisfactory--in 9, poor--in 7, one of them died.

Adolescent↗
PubMed1992

[Current treatment of bladder exstrophy].

The treatment of vesical exstrophy has greatly improved over the last twenty years. The most important progresses are: closing the bladder before the 72nd hour of life; iliac osteotomy allowing fusion of the pubis when closing the bladder; lengthening of the penis by liberation of the corpora cavernosa; entero-cystoplasty when the reconstructed bladder is too small. Most surgeons practice the same timing for the different operations. Urinary and genital anomalies can be cured at the same time. In relation to urinary problems, about 80% of cases achieve good continence. An urinary diversion, using "Coffey's" technique, must be performed in the presence of incontinence. Concerning genital problems in boys and girls, reconstructive surgery allows restoration of almost normal genital organs. Intercourse seems to be satisfactory in most cases. There is a high sterility rate in men.

Bladder Exstrophy↗